Provider Demographics
NPI:1952694457
Name:STEWARD, NASHUNA K
Entity Type:Individual
Prefix:
First Name:NASHUNA
Middle Name:K
Last Name:STEWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 E NORTHRUP DR
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-5420
Mailing Address - Country:US
Mailing Address - Phone:405-549-8917
Mailing Address - Fax:
Practice Address - Street 1:524 E NORTHRUP DR
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-5420
Practice Address - Country:US
Practice Address - Phone:405-549-8917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health